Ese waba waragize amaraso mu mitsi y'amaguru yawe? Reka tuvuge kuri (Deep Vein Thrombosis - DVT)!

Wigeze wumva iyi ndwara yitwa `(Deep Vein Thrombosis)` cyangwa DVT? Wenda wowe cyangwa undi muntu uzi yabyimbye ukuguru kubabara mu buryo butunguranye maze ajya kwa muganga. Uyu munsi, reka tuganire ku byo ari byo mu by'ukuri, impamvu bibaho, ese ni bibi, n'icyo gukora, sibyo?

DVT ni iki mu by'ukuri?

Mu magambo make, DVT (`(Deep Vein Thrombosis)`) ni ukurema kw'amaraso apfundikiye (`(thrombus)`) mu mitsi, imbere mu mubiri wacu. Tekereza nk'igipande cy'umukungugu gifata mu muyoboro w'amazi. Hari impamvu ebyiri z'ingenzi zituma ayo maraso apfundika. Imwe ni uko imitsi yangiritse mu buryo runaka. Indi ni uko umuvuduko w'amaraso mu mitsi ugabanuka, bivuze ko amaraso agenda buhoro cyane.

Iyo amaraso acitse, ashobora kubuza burundu cyangwa igice cy’amaraso gutembera mu mitsi. Akenshi, DVT ibaho mu mitsi yo hasi y’ukuguru (ku kaguru), mu itako, cyangwa mu kibuno. Ariko, DVT ishobora no kugaragara mu yindi mitsi iri mu mubiri, nko ku kuboko, ubwonko, mu mara, mu mwijima no mu mpyiko.

DVT iteje akaga gangana iki?

Noneho ushobora kuba utekereza uti, ni amaraso apfutse gusa, none kuki byaba ari akaga? Niba DVT igumye aho iri, ishobora kudateza impanuka ikomeye. Ariko ikintu giteje akaga cyane ni uko amaraso apfutse muri iyi mitsi ashobora gucika akagenda mu mubiri wose hamwe n'amaraso.

Tekereza niba amaraso apfutse (embolus) afashe umutsi w'amaraso mu bihaha, ibyo bikaba ari ibintu biteje akaga cyane . Mu buvuzi, tubyita "Pulmonary Embolism" cyangwa PE. Kubera ko ibi bishobora gushyira ubuzima mu kaga, ni ngombwa kumenya ibimenyetso, gusuzuma indwara, no gutangira kuvurwa vuba.

Si ibyo gusa, ahubwo hafi kimwe cya kabiri cy'abantu bafite DVT mu maguru yabo, cyangwa umwe muri babiri, bashobora kugira ububabare n'ibibyimba rimwe na rimwe mu mezi cyangwa imyaka. Iyi ndwara yitwa "syndrome ya post-thrombotic". Ibi bibaho iyo DVT yangije utunyangingo tworoheje turi mu mitsi n'urukuta rw'imbere rw'imitsi, bigatuma amaraso yishyira hamwe aho kugira ngo azamuke neza. Ubu bubabare n'ibibyimba biterwa no kwiyongera k'umuvuduko mu mitsi.

Indwara ya post-thrombotic syndrome ishobora kuba ikubiyemo ibimenyetso bikurikira:

• Amaraso yishyira hamwe mu kaguru.
• Kuba amaguru akomeza kubyimba.
• Ubwiyongere bw'umuvuduko mu mitsi.
• Ihinduka ry'ibara ry'uruhu ku maguru, rimwe na rimwe rigahinduka umukara.
• Ibisebe byo mu mitsi bikomerera gukira ku maguru.

Ni irihe tandukaniro riri hagati ya DVT na deep vein thrombosis?

Ushobora kuba warumvise umutsi ubyimbye, ufite ubururu, kandi ubabara iyo uwukozeho. Witwa `(Superficial Venous Thrombosis)` (bamwe bawita `(phlebitis)` cyangwa `(superficial thrombophlebitis)`). Uba uri munsi y'uruhu rwawe,Amaraso agwa mu mitsi iri hafi aho. Ni gake cyane ko amaraso ameze nk'aya acika akagera mu bihaha. Ariko, iyo amaraso agwa mu mitsi yo mu nda, hari amahirwe make ko ashobora kubaho.

Muganga ashobora kumenya niba hari uduce tw’amaraso mu mitsi yegereye uruhu akoresheje gukubita no gusuzuma umubiri. Ariko, kugira ngo umuntu amenye neza DVT, ni ukuvuga uduce tw’amaraso mu mitsi miremire, nta gushidikanya ko hakenewe ikizamini cya ultrasound.

Iyi DVT ikunze kugaragara gute?

Ni ngombwa kubimenya kandi. Iyo urebye imibare mu gihugu nka Amerika, bivugwa ko hagati y'umuntu umwe na batatu muri buri 1.000 abantu bakuru barwara DVT cyangwa se `(Pulmonary Embolism)` (PE) buri mwaka. Bivugwa kandi ko abantu bagera ku bihumbi magana atatu bapfa buri mwaka bazize DVT/PE. Tekereza, DVT/PE ni yo ndwara ya gatatu ikunze kugaragara cyane mu mitsi nyuma y'indwara z'umutima n'imitsi yo mu bwonko.

Nubwo DVT/PE ishobora kugaragara mu myaka iyo ari yo yose, ikunze kugaragara mu bana no mu rubyiruko. Ikunze kugaragara cyane mu bantu barengeje imyaka 60. Ikindi kintu cy'ingenzi ni uko ibirenga kimwe cya kabiri bya DVT bibaho mu gihe bavurirwa mu bitaro kubera indwara cyangwa nyuma yo kubagwa. Impamvu nyamukuru ni uko iyo turi mu bitaro, ntitugendagenda nk'uko bisanzwe kandi tukamara igihe kirekire mu buriri, ibyo bikaba bigabanya amaraso atembera mu maguru.

Ni ibihe bimenyetso by'indwara ya DVT?

DVT ikunze kugaragara mu mitsi y'amaguru cyangwa amaboko. Igitangaje ni uko abantu bagera kuri 30% bafite DVT, cyangwa umuntu umwe muri batatu, nta bimenyetso bagira! Hari igihe ibimenyetso biba byoroheje cyane ku buryo bamwe bashobora kutabibona.

Ariko, ibimenyetso bya DVT itunguranye (ikomeye) bishobora kuba birimo:

• Kubyimba ukuguru cyangwa ukuboko (rimwe na rimwe ibi bibaho mu buryo butunguranye).
• Ububabare cyangwa ububabare mu kuguru cyangwa ku kuboko (ibi bishobora kugaragara gusa iyo uhagaze cyangwa ugenda).
• Kumva ko agace kabyimbye kandi kababaza k'ukuguru cyangwa ukuboko gashyushye kurusha ibindi.
• Gutukura cyangwa guhinduka ibara ry'uruhu muri ako gace.
• Imitsi yegereye uruhu isa n'aho ari minini kuruta uko bisanzwe kandi ibyimbye.
• Kubabara mu nda cyangwa kubabara mu ruhande rw'inda (ibi bibaho iyo amaraso yacitse mu mitsi yo mu nda).
• Kuribwa umutwe cyane (ubusanzwe bitangira mu buryo butunguranye) cyangwa gukubita ibisebe (ibi bibaho iyo amaraso yacitse mu bwonko).

Hari abantu batazi ko bafite DVT kugeza igihe ikibyimba cy’amaraso gicitse kikava ku kuguru cyangwa ku kuboko kikagera mu bihaha. Icyo gihe ni bwo batangira kugaragaza ibimenyetso bya PE (pulmonary embolism), bishobora kuba birimo kubabara mu gatuza, guhumeka nabi, gukorora amaraso, kumva isereri, ndetse no guta ubwenge.

Dore ikintu ugomba kuzirikana: Niba ufite kimwe cyangwa byinshi mu bimenyetso bya DVT, ntutegereze ko ibimenyetso bigabanuka. Hamagara muganga ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe. Gukira vuba bishobora gukumira ingorane zikomeye.

Ni izihe mpamvu zitera DVT?

Noneho reka turebe impamvu zikunze gutera DVT. Niba izi zikureba, ni byiza kuba maso gato kuri DVT:

• Kugira amateka y'umuryango w'umuntu ufite indwara z'uturemangingo zongera ibyago byo kubyimba kw'amaraso.
• Kanseri n'uburyo bumwe na bumwe bwo kuvura (nk'imiti ivura kanseri).
• Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira DVT.
• Kugabanya amaraso mu mitsi miremire bitewe n'imvune, kubagwa, cyangwa kumara igihe kirekire umuntu adakora neza.
• Guhora mu mwanya umwe, nta kwimuka, igihe kirekire. Nk'iyo uri mu rugendo muri bisi ndende, gari ya moshi, cyangwa indege, cyangwa iyo uryamye mu buriri nyuma yo kubagwa cyangwa gukomereka bikomeye.
• Gutwita cyangwa uherutse kubyara (ingaruka ziba nyinshi mu byumweru 6 bya mbere).
• Kuba ufite imyaka irenga 40 (ariko wibuke ko DVT ishobora kugaragara mu myaka iyo ari yo yose).
• Umubyibuho ukabije/umubyibuho ukabije .
• Kugira indwara y’ubwiyongere bw’umubiri nka lupus, vasculitis, cyangwa indwara y’amara abyimba (IBD).
• Gukoresha ibikomoka ku itabi (nk'itabi, beedis).
• Abantu bafite imitsi iri mu bwonko nabo bafite ibyago byinshi byo kurwara DVT.
• Gufata ibinini byo kuboneza urubyaro cyangwa imiti igabanya ubukana bw'imisemburo .
• Kugira catheter yo mu mitsi yo hagati (umuyoboro winjizwa mu mitsi minini) cyangwa pacemaker (igikoresho kigenzura umuvuduko w'umutima) byinjizwa mu mubiri.
• Kuba uherutse kwandura COVID-19 byongera ibyago byo kurwara DVT.

Wamenya ute ko ufite DVT?

Iyo ugiye kwa muganga ufite ibimenyetso bya DVT, babanza kukubaza ibimenyetso byawe, izindi ndwara zawe, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo. Hanyuma bazagusuzuma. Nyuma y'ibyo, bashobora gukora kimwe cyangwa byinshi muri ibi bikurikira kugira ngo bemeze niba ufite DVT:

Ibizamini byo gupima DVT

• `(Duplex venous ultrasound)` : Iki ni cyo kizamini gikoreshwa cyane, kitababaza, kandi cyoroshye gukora kugira ngo hamenyekane DVT.Ibi bikoresha imiraba y'amajwi yitwa ultrasound kugira ngo harebwe uko amaraso atembera mu mitsi no kureba niba hari amaraso yacitse. Umuntu ukora iki kizamini ashyira icyuma gipima ultrasound ku kuguru kwawe cyangwa ku kuboko kwawe maze agashyiramo umuvuduko woroshye. Iyo umutsi udacitse neza iyo uwukandagiye, muganga ashobora gukeka ko hari amaraso yacitse. Niba ibisubizo by'iki gipimo bitarasobanuka neza, muganga ashobora gukora ikindi kizamini.
• `(Venography)` : Iki ni ikizamini gikorerwa mu mubiri. Muri iyi minsi gikoreshwa gake cyane. Aha, hakorwa icyuho gito ku ruhu rwo mu ijosi cyangwa mu nda, umuyoboro muto (`(catheter)`) unyura muri icyo gikoresho ukajya mu mitsi, hanyuma hagashyirwamo amazi yihariye (ibintu bitandukanya) mu mitsi. Hanyuma, hafatwa amashusho ya X-ray kugira ngo harebwe niba amaraso atembera mu mitsi yafunzwe bitewe n’imitsi yapfunditse amaraso.
• Ishusho ya Magnetic Resonance (MRI) cyangwa Magnetic Resonance Venography (MRV) : MRI ishobora gufata amashusho asobanutse neza y’ingingo n’imiterere y’umubiri. MRV ishobora gufata amashusho y’imitsi, cyane cyane mu bice bimwe na bimwe by’umubiri. MRI na MRV akenshi bishobora gutanga amakuru arambuye kurusha ultrasound cyangwa CT scan.
• Gupima hakoreshejwe ikoranabuhanga rya "CT scan" : Ubu ni ubundi buryo bwo gufata amashusho y’imbere mu mubiri hakoreshejwe ikoranabuhanga rya X-ray. Muganga ashobora gukoresha CT scan kugira ngo arebe DVT mu nda, mu kibuno, cyangwa mu bwonko, ndetse no kureba niba amaraso yapfunditse mu bihaha (pulmonary embolism).

Hari igihe, iyo muganga wawe akeka ko ufite indwara yo kuvura amaraso, yaba yaravukanywe cyangwa yaguzwe, ashobora gusaba ko upimwa amaraso byihariye kugira ngo ayishakishe. Ibi ni ingenzi cyane cyane mu bihe nk'ibi:

• Niba warigeze kugira amaraso afunganye mu bihe byashize nta yindi mpamvu igaragara.
• Niba ufite amaraso apfunditse mu mitsi ahantu hadasanzwe, nko mu mara yawe, umwijima, impyiko, cyangwa ubwonko.
• Niba umuryango wawe ufite amateka akomeye yo kuvura amaraso.
• Niba hari umuntu wo mu muryango wawe wamaze gufatwa n'indwara yihariye yo kuvura amaraso mu buryo bw'umwimerere.

Ubuzima bwa buri munsi bumeze bute hamwe na DVT?

Iyo ufite DVT, ushobora kugira ububabare no kubyimba ukuguru kwawe mu minsi mike ya mbere, bigatuma bigorana kugenda no gukora imirimo yawe isanzwe. Ariko ntugahangayike, ushobora gusubira buhoro buhoro mu mirimo yawe isanzwe .

Niba amaguru yawe yabyimbye kandi ukumva aremereye, gerageza kuryama mu buriri ufite umusego umwe cyangwa ibiri munsi y'amaguru yawe kandi ushyire amaguru yawe hejuru ya santimetero 5-6 hejuru y'umutwe wawe. Ibi bizafasha kunoza amaraso ava mu maguru yawe ajya mu mutima wawe no kugabanya kubyimba.

Byongeye kandi, tekereza kuri ibi bintu:

• Niba ugomba kwicara igihe kirekire (urugero, iyo ukora mu biro, ureba televiziyo), kora imyitozo isaba kwimura ikibuno cyawe nibura rimwe mu minota 30.
• Haguruka ugende iminota mike nibura buri saha usinziriye. Ibi ni ingenzi cyane cyane iyo uri mu rugendo rurerure rw'indege cyangwa urugendo rurerure mu modoka nka bisi, gari ya moshi, cyangwa imodoka.
• Niba muganga wawe agutegetse, ambara amasogisi yihariye yo gukanda agera ku mavi yawe. Byagaragaye ko kwambara buri gitondo na nimugoroba bigabanya ububabare bw'amaguru no kubyimba kugeza kuri 50%.
• Irinde ibikorwa bishobora gutera imvune zikomeye (urugero: kwiruka cyane cyangwa gusimbuka) igihe gito.
• Buri gihe nywa amazi menshi, cyane cyane iyo uri mu rugendo, kandi ntureke ngo umubiri wawe ugire amazi make.

Ni ubuhe buryo bwo kuvura DVT?

Hari abantu bamwe na bamwe barwaye DVT bashobora gukenera kuguma mu bitaro kugira ngo bavurwe, ariko abantu benshi bashobora kuvurirwa mu rugo, bafata imiti nk'uko muganga yabibabwiye, ndetse bakajya kwa muganga (abarwayi bataha).

Uburyo bw'ingenzi bwo kuvura DVT ni ubu:

• Gutanga imiti igabanya amaraso (anticoagulants) kugira ngo hirindwe ko amaraso agwa.
• Ikintu navuze mbere ni ukwambara amasogisi akozwe mu buryo bwo gukanda.
• Kuzamura ukuguru kwagize ikibazo inshuro nyinshi mu munsi.

Ni gake cyane, iyo DVT yakwirakwiriye cyane, ubuvuzi bwihariye (uburyo bwo kuvurwa bushingiye kuri catheter) bushobora kuba ngombwa.

Ubu buryo bwo kuvura bufite intego nyinshi z'ingenzi:

• Intego ni ukubuza amaraso asanzwe kuzura no gukwirakwira mu yindi mitsi iyikikije.
• Kurinda ko amaraso adacika mu mitsi maze akagendana n'amaraso mu bihaha (bigatera indwara yo mu bihaha).
• Kugabanya ibyago byo kongera kugira ubwo bwoko bw'amaraso mu gihe kizaza.
• Kwirinda ingorane z'igihe kirekire (urugero: kudakora neza kw'imitsi mu maraso, indwara ituma amaguru abyimba kandi agahindura ibara ry'uruhu) zishobora guterwa n'iyi ndwara yo kubyimba kw'amaraso.

Wibuke ibi bintu bijyanye n'imiti

Niba muganga wawe akwandikiye imiti ya DVT, witondere cyane ibi bintu:

• Fata umuti wawe neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye, mu gipimo gikwiye. Ntucikwe n'umunsi n'umwe.
• Suzuma amaraso yawe neza nk'uko muganga wawe abikubwiye, kandi ntucikwe na gahunda zawe zo muri laboratwari. (Hari imiti igabanya amaraso isaba ko amaraso apimwa buri gihe kugira ngo barebe ubushobozi bwo kuvura amaraso.)
• Ntugatangire imiti mishya (harimo imiti igabanya ububabare, vitamine, n'imiti ya Ayurvedic) cyangwa ngo uhagarike gufata imiti iyo ari yo yose urimo gufata utabanje kugisha inama muganga wawe.
• Vugana na muganga wawe ku bijyanye n'imirire yawe. Imiti imwe n'imwe igabanya amaraso (nka warfarin) ishobora kugabanya ingano y'ibiribwa bimwe na bimwe urya (nk'ibinyamisogwe). Bityo rero menya ibi.

Birenzeho gato ku bijyanye n'ubuvuzi bwa DVT

Imiti igabanya amaraso (anticoagulant)

Uyu muti ahanini ubuza amaraso yawe kuvura byoroshye. Unabuza kandi amaraso asanzwe kuvura kwiyongera, kandi unayabuza gucika no kugendagenda.

Icy'ingenzi ni uko iyi miti igabanya amaraso idashonga. Imikorere karemano y'umubiri wawe ishonga buhoro buhoro. Ariko, hari igihe amaraso adashonga burundu. Iyo apfuye, aragabanuka agakomeza kuba nk' "inkovu" nto mu mitsi. Hari igihe ayo maraso "ashaje" ashobora gutera kubyimba amaguru igihe kirekire, ariko akenshi nta bimenyetso bikomeye atera.

Hari ubwoko butandukanye bw'imiti igabanya amaraso. Urugero, warfarin (igurishwa ku mazina nka Coumadin), heparin (itangwa nk'urushinge), hamwe n'imiti mishya igabanya amaraso mu kanwa (DOACs) cyangwa imiti mishya igabanya amaraso mu kanwa (NOACs) (urugero: rivaroxaban, apixaban, dabigatran). Muganga wawe azakubwira ubwoko bw'imiti ikubereye kandi ifite umutekano.

Niba ukeneye gufata umuti ugabanya amaraso, igihe ugomba kuwufata kizaterwa n'uko umeze. Hari abantu bagomba kuwufata amezi make gusa (ubusanzwe amezi 3-6), mu gihe abandi bashobora kuwufata ubuzima bwabo bwose. Ibi biterwa n'ibintu nka:

• Ese wigeze ugira amaraso nk'aya mbere?
• Waba uri kuvurwa indwara y’igihe kirekire, nka kanseri cyangwa indwara y’ubwiyongere bw’umubiri (niba ari byo, ushobora gukenera gufata umuti ugabanya amaraso igihe kirekire, ibyo bikaba byongera ibyago byo kurwara amaraso agabanuka).

Ingaruka mbi zikunze kugaragara ku miti igabanya amaraso ni ukuva amaraso. Niba ugize imvune zoroshye, kuva amaraso menshi mu ishinya mugihe woza amenyo, kuva amaraso mu mazuru, cyangwa kwitumamo imyanda y'umukara mugihe ufata iyi miti, hamagara muganga wawe vuba.

(Amasogisi yo gukanda)` (Amasogisi yihariye yo gukanda)

Muganga wawe ashobora kukwandikira kwambara amasogisi yihariye yo gukanda kugira ngo ugabanye cyangwa uvaneho kubyimba mu maguru yawe. Impamvu nyamukuru y'uku kubyimba ni ukwangirika kw'uturemangingo tworoheje turi mu mitsi yawe bitewe na DVT. Kubyimba bishobora kandi kubaho kubera ko amaraso atembera mu mitsi yawe aba yafunzwe na DVT.

Amasogisi menshi yo gukanda aza mu buryo bwambarwa munsi y'ivi. Aya masogisi arushaho gukomera ku kaguru, kandi agenda agabanuka uko uzamuka ukuguru. Ibi bituma umuvuduko ugenda buhoro (compression) ku kaguru, bigagabanya amaraso yiyongera kandi bigafasha ko azamuka. Hari abantu bagomba kwambara aya masogisi mu gihe cy'imyaka ibiri cyangwa irenga. Ubushakashatsi bwagaragaje ko kwambara aya masogisi buri munsi kuva mu gitondo kugeza nimugoroba (atari nijoro iyo usinziriye) bishobora kugabanya ububabare no kubyimba ku kaguru kugeza kuri 50%.

Hari igihe, nyuma yo kubagwa bikomeye, ushobora kubona abantu bambaye ibikoresho byihariye (`(ibikoresho byo gukanda umwuka bihoraho)`) bishyirwa ku kuguru kwawe bigakomezwa kandi bigafungurwa buri gihe kugira ngo hirindwe DVT mu gihe uri mu bitaro. Ibi ntibisabwa gukoreshwa hanze y'ibitaro. Nanone, ibi bikoresho ntibisabwa umuntu usanzwe afite DVT mu kuguru kwe.

Uburyo bwihariye bwo gukoresha DVT

DVT ikunze kubonerwa umuti. Ariko, niba udashobora gufata imiti igabanya amaraso bitewe n'impamvu runaka, cyangwa niba ukomeje kugira amaraso afungana nubwo wayifashe neza, umuganga ubaga ashobora kubagwa kugira ngo ashyire igikoresho cyihariye (akayunguruzo k’amaraso kadafite ubushobozi bwo kuvura cyangwa akayunguruzo ka IVC) mu mutsi munini mu mubiri wawe (vena cava).

Ibi akenshi bikorwa mu gukaraba ahantu habi. Umuganga w’inzobere mu kubaga ashyira iyi `(IVC filter)` anyuze mu muyoboro muto (`(catheter)`) mu mutsi munini uri mu gituza cyawe cyangwa mu ijosi, hanyuma akawufata akawushyira muri `(vena cava)`, umutsi mukuru utwara amaraso ava mu bice byo hasi by’umubiri akayajyana mu mutima. Intego y’iyi filter ni ukurinda ko amaraso afungana mu mitsi y’amaguru yawe acika kandi akazamuka, ndetse n’amaraso menshi (`(emboli)`) akagenda mu bihaha byawe agatera `(pulmonary embolism)`. Ariko ibuka ko nubwo `(IVC filter)` igabanya ibyago byo kurwara `(pulmonary embolism)`, ntibibuza ko amaraso mashya afungana mu mitsi yawe.

Nagabanya nte ibyago byo kurwara DVT?

Bavuga bati: "Kwirinda biruta kuvura." Ibyo ni ukuri no kuri DVT.

Niba waramaze gufata DVT kandi warangije kuvurwa, ugomba gukora ibi bikurikira kugira ngo ugabanye ibyago byo kurwara ikindi kibyimba cy'amaraso cya DVT/PE mu gihe kizaza:

• Fata imiti yawe neza neza nk'uko muganga wawe yabigutegetse, mu gihe runaka cyagenwe.
• Ntucikwe na gahunda za muganga wawe no gupimwa muri laboratwari. Iyi ni yo minsi muganga wawe ashobora kumenya uburyo ubuvuzi bwawe bufite akamaro ndetse niba ingano y'imiti yawe igomba guhinduka.
• Hindura imibereho myiza, nko kurya indyo yuzuye, gukora imyitozo ngororamubiri buri munsi, no kureka kunywa itabi burundu.

Niba utigeze ugira DVT, ariko ukaba ufite imwe cyangwa nyinshi mu mpamvu zavuzwe haruguru, witondere kwirinda DVT ukoresheje:

• Niba ugomba kwicara ahantu hamwe igihe kirekire (urugero, mu biro, mu rugendo rurerure), kora imyitozo ngororamubiri yoroheje, nko kuzamura ikibuno cyawe no kugitembera no kuzunguruka, nibura rimwe mu minota 30.
• Niba uri mu rugendo rurerure rw'indege, haguruka nibura rimwe mu isaha utembere mu nzira. Niba uri mu rugendo rurerure rw'imodoka (bisi, imodoka), sohoka mu modoka nibura rimwe mu isaha imwe cyangwa ebyiri ugende buhoro buhoro, urambura amaguru yawe gato.
• Nyuma y'uburwayi cyangwa kubagwa, haguruka ugende vuba bishoboka. Uko utangira kugenda vuba, niko amahirwe yo kurwara DVT aba make.
• Nyuma yo kubagwa bikomeye, niba muganga wawe agutegetse, fata umuti (urugero: inshinge nto za heparin) cyangwa wambare amasogisi agabanya ubukana kugira ngo ugabanye ibyago byo kubyimba kw'amaraso.
• Reba muganga wawe ku masaha yagenwe kandi ukurikize amabwiriza ye neza kugira ngo ugabanye ibyago byo kwandura DVT.

Ni iki nakwitega mu gihe mfite DVT?

Bishobora gufata amezi kugeza ku mwaka kugira ngo amaraso ashonge burundu muri DVT. Kubwibyo, ni ngombwa gukomeza gufata imiti igabanya amaraso no kwambara amasogisi agabanya ubukana, niba warahawe amabwiriza, kugeza igihe muganga akubwiye kubihagarika.

Mu gihe ufata imiti igabanya amaraso (cyane cyane warfarin), uzakenera gupimwa amaraso buri gihe (INR tests) kugira ngo umenye neza ko uhabwa dose ikwiye. Muganga wawe ashobora kandi gushaka gukora ultrasound nyinshi nyuma kugira ngo arebe niba amaraso yawe akibyimba, niba yagabanutse cyangwa arimo kwiyongera, n'uko imitsi yawe igenda.

Ni ryari ngomba kongera kubonana na muganga wanjye?

Niba ibimenyetso byawe (nk'ububabare bw'amaguru no kubyimba) bitarushijeho kuba bibi mu gihe cyo kuvurwa, bimenyeshe muganga wawe ako kanya. Nanone, niba ubabara byoroshye mu gihe ufata imiti igabanya amaraso, cyangwa niba uva amaraso menshi mu gihe cy'imihango, bimenyeshe muganga wawe.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Ibi nabyo ni ingenzi cyane. Niba uhuye n'ibi bikurikira mugihe ufata imiti igabanya amaraso, bivuze ko ugaragaza ibimenyetso byo kuva amaraso menshi, jya mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro vuba:

• Niba ibirutsi bitukura cyane kandi bifite amaraso, cyangwa niba ibirutsi ari umukara nk'ikawa.
• Iyo intebe itukura cyane irimo amaraso, cyangwa iyo intebe ari umukara cyane kandi ifatana.
• Niba ukomeje kuva amaraso mu mazuru, mu kanwa, cyangwa ahandi hantu hose.
• Niba ugize ibimenyetso bya stroke, nko kubabara umutwe mu buryo butunguranye, guhinduka k'amaso, kugorwa no kuvuga, cyangwa intege nke ku ruhande rumwe rw'umubiri.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo usanzwe ufite DVT, ni ibisanzwe kugira ibibazo byinshi mu mutwe wawe. Ntutinye kubaza muganga wawe ibintu nk'ibi:

• Nzamara igihe kingana iki nfata iyi miti yoroshya amaraso?
• Ni ryari nzashobora kongera gukora ingendo nk'uko bisanzwe (cyane cyane ingendo ndende, ingendo z'indege)?
• Ni kangahe nkwiye kubonana na muganga (`(inama zo gukurikirana)`)?
• Ese ngomba guhindura indyo yanjye mu buryo bwihariye?
• Ni ibihe bikorwa nkwiye kwirinda mu gihe ndimo gufata ubu buvuzi?

None se, ni iki twakura muri iyi nkuru?

DVT si ikintu cyo gutinya, ariko nanone si ikintu cyo gufatanwa uburemere. Ni indwara ifata abantu benshi ku isi kandi ishobora kuvurwa neza.

Ikintu cy'ingenzi cyane ni uko,Niba ufite ibimenyetso, jya kwa muganga ako kanya kandi ufate imiti nk'uko agusaba. Niba wahawe imiti yoroshya amaraso, uyifate ku gihe kandi uhabwe ibizamini muganga agusaba. Muganga wawe ni we muntu mwiza wo gusubiza ibibazo cyangwa impungenge ushobora kuba ufite ku buzima bwawe. Rero, vugana na we mu buryo bweruye kandi ubone ubuvuzi bwiza ku ndwara yawe. Komeza ugire ubuzima bwiza!

` Deep Vein Thrombosis, DVT, amaraso afunganye, imitsi, Pulmonary Embolism, PE, kubyimba amaguru, kugabanya amaraso, amasogisi akandamizwa, amaraso afunganye, venous thrombosis